Anger Coach Online Affiliate Sign Up

Signup for Anger Coach Online Affiliate Program

As an affiliate, you will receive a $75 commission for each person you refer to Anger Coach Online who successfully completes their class. Also, the person you refer will automatically receive a $5 discount. Anger Coach Online will also be expanding its affiliate program in the future with more opportunities for you to earn commission.

If you would like to become an affiliate, please enter your contact information below. Fields labeled (*) are required.

Please note that if you are accepted as an affiliate, you will be bound by our Affiliate Terms of Use.

Affiliate Information
First Name:*	*
Last Name:*	*
Organization:

Contact Information
Street Address 1:*	*
Street Address 2:
City:*	*
State / Province:*	(Choose Not Applicable if outside the U.S.)*
Zip / Postal Code:*	*
Country:
Telephone Number:*	*
Email:*	*
Your Website:

Signup Reason
Please describe in detail your reasons for wanting to be an affiliate, including some information about your website, your anticipated traffic, etc.
Reason for Signup:*	*

Account Information
If you join the affiliate program, you will need a a user name and password to login. Please enter your user name and password below:
Create Login ID:*	*
Create Password:*	*
Confirm Password:*	* *